Faculty name(s)

Department

Office phone

FAX number

Email address

Event type Choose one of the following Demonstration or activity Contest or competition Workshop for teachers

Title of event

Please identify which period(s) listed below you would be willing to conduct your activity.

Period 1 : 10-11am

Period 2: 11am-12pm

Period 3: 1-2pm

Period 4: 2-3pm

Is space available in your department to perform this activity? Choose one of the following Yes No (please find space for my event)

Please give a description of the event to be posted on our website for access by the high shcool teachers and students. If you select to use an event from previous years that we have on file we will scan the "old" description and use it if you like.

Yes, please scan my previous event description with no changes.

No, I'll provide an event description below.

Event description

If you need to have an image to supplement your event description, please check here and mail the image to the Chemistry Department at P.O.Box 4547. We will scan your image and add it into our website.